Physicians in the substance abuse treatment workforce: Understanding their employment within publicly funded treatment organizations
Physicians in the substance abuse treatment workforce: Understanding their employment within publicly funded treatment organizations
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DOI：
10.1016/j.jsat.2011.12.003
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发表时间：
2012-09-01
影响因子：
3.9
通讯作者：
Roman, Paul M.
中科院分区：
文献类型：
--
作者：
Knudsen, Hannah K.;Oser, Carrie B.;Roman, Paul M.
尽管医生在实施药物治疗和将治疗纳入更广泛的医疗保健系统中发挥着重要作用，但药物滥用治疗组织聘用医生的情况尚未得到充分研究。这项研究利用从 249 个公共资助的治疗组织收集的数据，研究了与这些机构雇用医生相关的组织和环境因素。负二项回归模型表明，当组织提供戒毒服务、嵌入医疗保健机构且规模较大时，会雇用更多的医生。资金障碍，包括医生的费用和资助者报销不足，与医生的就业呈负相关。那些不知道可以使用国家合同资金来支付医务人员费用的项目所雇用的医生数量比了解此类国家政策的项目要少。尝试增加药物滥用治疗中的医生就业可能需要关注组织和环境因素，而不是简单地试图吸引个人进入该领域。在当前的经济环境下，增加医生就业可能具有挑战性。 (C) 2012 Elsevier Inc. 保留所有权利。
The employment of physicians by substance abuse treatment organizations is understudied, despite physicians' importance in implementing pharmacotherapy and integrating treatment into the broader system of medical care. Drawing on data collected from 249 publicly funded treatment organizations, this study examined organizational and environmental factors associated with the employment of physicians in these settings. A negative binomial regression model indicated that greater numbers of physicians were employed when organizations offered detoxification services, were embedded in health care settings, and were larger in size. Funding barriers, including the costs of physicians and inadequate reimbursement by funders, were negatively associated with physician employment. Programs unaware that they could use state contract funding to pay for medical staff employed fewer numbers of physicians than programs aware of this type of state policy. Attempts to increase physician employment in substance abuse treatment may require attention to both organizational and environmental factors rather than simply trying to attract individuals to the field. Increasing physician employment may be challenging in the current economic climate. (C) 2012 Elsevier Inc. All rights reserved.